Jordan J Dedrick, Morbitzer Kathryn A, Rhoney Denise H
Department of Neurology, University of North Carolina at Chapel Hill School of Medicine, 2118 Physician Office Building, Campus Box 7025, Chapel Hill, NC 27599, USA; Department of Neurosurgery, University of North Carolina at Chapel Hill School of Medicine, 2118 Physician Office Building, Campus Box 7025, Chapel Hill, NC 27599, USA.
Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, 115 Beard Hall, Campus Box 7574, Chapel Hill, NC 27599, USA.
Neurol Clin. 2015 May;33(2):361-80. doi: 10.1016/j.ncl.2014.12.003. Epub 2015 Mar 17.
Blood pressure elevation in the setting of acute ischemic stroke and intracerebral hemorrhage is common. Controversy exists as to the optimal management of elevated blood pressure in this patient population. This article reviews the available clinical data that guides acute blood pressure management and how this may affect clinical outcomes. Furthermore, it examines how these data have led to controversies in their clinical application.
急性缺血性卒中和脑出血患者出现血压升高的情况很常见。对于这一患者群体中血压升高的最佳管理方法存在争议。本文回顾了指导急性血压管理的现有临床数据,以及这可能如何影响临床结果。此外,还探讨了这些数据在临床应用中是如何引发争议的。